Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.88 / $1,272.00 / $5,430.00	Facility		$457.88	$1,272.00	$5,430.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $215.85 / $254.70 / $457.88	Professional		$215.85	$254.70	$457.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,280.71 / $2,791.76 / $5,590.49	Facility		$1,280.71	$2,791.76	$5,590.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $293.12 / $346.57 / $438.12	Professional		$293.12	$346.57	$438.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $267.61 / $587.00 / $908.00	Facility		$267.61	$587.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $240.29 / $357.94 / $529.77	Professional		$240.29	$357.94	$529.77
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $265.14 / $405.66 / $1,076.73	Professional		$265.14	$405.66	$1,076.73
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $260.92 / $306.44 / $344.68	Professional		$260.92	$306.44	$344.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $389.76	Professional		$32.34	$32.34	$389.76
United Facility/Professional Facility Modifier Low / Median / High Price $557.00 / $2,873.00 / $6,625.00	Facility		$557.00	$2,873.00	$6,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $232.68 / $323.94 / $569.02	Professional		$232.68	$323.94	$569.02